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Deficiency Records for Bourne Manor Extended Care Facility
View the most recent health deficiencies and inspection results for Bourne Manor Extended Care Facility. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bourne Manor Extended Care Facility. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2025-01-28 | 2025-03-12 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2025-01-28 | 2025-03-12 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2025-01-28 | 2025-03-12 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-01-28 | 2025-03-10 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-01-28 | 2025-03-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-28 | 2025-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-28 | 2025-03-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-01-28 | 2025-03-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-28 | 2025-03-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-01-28 | 2025-03-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-28 | 2023-12-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-28 | 2023-12-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-28 | 2023-12-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-28 | 2023-12-13 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-12 | 2023-12-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-12 | 2023-12-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-12 | 2023-12-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-12 | 2023-12-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-10-12 | 2023-12-09 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-10-12 | 2023-11-17 | N |
| Keep all essential equipment working safely. | Health | 2023-10-12 | 2023-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-12 | 2023-11-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-12 | 2023-11-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-12 | 2023-11-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-12 | 2023-11-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-10-12 | 2023-11-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-10-12 | 2023-11-17 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-10-12 | 2023-11-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-10-12 | 2023-11-17 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-10-12 | 2023-11-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-12 | 2023-11-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-12 | 2023-07-10 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-11-04 | 2022-01-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-04 | 2022-01-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-04 | 2022-01-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-04 | 2022-01-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-04 | 2022-01-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-11-04 | 2021-12-27 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-04 | 2021-12-27 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2021-11-04 | 2021-12-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-04 | 2021-12-27 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-11-04 | 2021-12-27 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-11-04 | 2021-12-27 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-11-04 | 2021-12-27 | N |
| Post nurse staffing information every day. | Health | 2021-11-04 | 2021-12-27 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-11-04 | 2021-12-27 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-11-04 | 2021-12-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-04 | 2021-12-27 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2021-11-04 | 2021-12-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-04 | 2021-12-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-04 | 2021-12-27 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-11-04 | 2021-12-27 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-11-04 | 2021-12-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-04 | 2021-12-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-04 | 2021-12-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-11-04 | 2021-12-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-04 | 2021-12-07 | N |